36215 Place catheter in artery
What 36215 is
CMS fee schedule short descriptor: Place catheter in artery.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 36215 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 4.07 | 27.17 | 0.62 | 31.86 | $1,064.15 |
| Facility (hospital, ASC) | 4.07 | 0.94 | 0.62 | 5.63 | $188.05 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).
Medically Unlikely Edit (MUE)
Medicare caps 36215 at 6 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 36215? These codes are bundled into it
36215 is a Column 1 code in 30 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
01916 | Anes dx arteriography/vngrph | 0 - no modifier bypass | Check pair |
01924 | Anes ther ivntl rad artl nos | 0 - no modifier bypass | Check pair |
01925 | Anes ivntl rad artl crtd/c | 0 - no modifier bypass | Check pair |
01926 | Anes ivntl rad icr icar/aort | 0 - no modifier bypass | Check pair |
35201 | Repair blood vessel dir neck | 1 - modifier may bypass | Check pair |
35206 | Repair blood vessel dir uxtr | 1 - modifier may bypass | Check pair |
35226 | Repair blood vessel dir lxtr | 1 - modifier may bypass | Check pair |
35231 | Repair blvsl vn grf neck | 1 - modifier may bypass | Check pair |
35236 | Repair blvsl vn grf uxtr | 1 - modifier may bypass | Check pair |
35256 | Repair blvsl vn grf lxtr | 1 - modifier may bypass | Check pair |
35261 | Rpr blvsl grf oth/thn vn nck | 1 - modifier may bypass | Check pair |
35266 | Rpr blvsl grf oth/th vn uxtr | 1 - modifier may bypass | Check pair |
35286 | Rpr blvsl grf oth/th vn lxtr | 1 - modifier may bypass | Check pair |
36002 | Pseudoaneurysm injection trt | 1 - modifier may bypass | Check pair |
36100 | Establish access to artery | 1 - modifier may bypass | Check pair |
36140 | Intro ndl icath upr/lxtr art | 1 - modifier may bypass | Check pair |
36200 | Place catheter in aorta | 1 - modifier may bypass | Check pair |
36500 | Insertion of catheter vein | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
69990 | Microsurgery add-on | 1 - modifier may bypass | Check pair |
75893 | Venous sampling by catheter | 1 - modifier may bypass | Check pair |
76000 | Fluoroscopy <1 hr phys/qhp | 1 - modifier may bypass | Check pair |
77001 | Fluoroguide for vein device | 1 - modifier may bypass | Check pair |
77002 | Needle localization by xray | 1 - modifier may bypass | Check pair |
93050 | Art pressure waveform analys | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
J0670 | Inj mepivacaine hcl/10 ml | 1 - modifier may bypass | Check pair |
J1642 | Inj heparin sodium per 10 u | 1 - modifier may bypass | Check pair |
J1644 | Inj heparin sodium per 1000u | 1 - modifier may bypass | Check pair |
36215 is bundled into these codes
36215 appears as a Column 2 code in 181 active edits. Reported with one of these Column 1 codes on the same date of service, 36215 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0075T | Perq stent/chest vert art | 1 | Check pair |
0483T | Tmvi percutaneous approach | 1 | Check pair |
0484T | Tmvi transthoracic exposure | 1 | Check pair |
0515T | Insj wcs lv compl sys | 1 | Check pair |
0516T | Insj wcs lv eltrd only | 1 | Check pair |
0520T | Rmv&rplcmt pg wcs lv battery | 1 | Check pair |
0543T | Ta mv rpr w/artif chord tend | 1 | Check pair |
0632T | Perq tcat us abltj nrv p-art | 1 | Check pair |
0643T | Tcat l ventr rstrj dev implt | 1 | Check pair |
0644T | Tcat rmvl/dblk icar mas perq | 1 | Check pair |
0659T | Tcat intra-c nfs supersat o2 | 1 | Check pair |
0913T | Prq tcat ther rx ntrac balo1 | 1 | Check pair |
32852 | Lung transplant with bypass | 1 | Check pair |
32854 | Lung transplant with bypass | 1 | Check pair |
33031 | Partial removal of heart sac | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.